# CPT 69633: Tympanoplasty with ossicular chain reconstruction

Medicare CPT 69633 pays $943.24 in a non-facility setting and $943.24 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $845.39 in Arkansas to $1,146.97 in Alaska, a 36% spread.

Web page: https://www.med-reveal.com/rates/69633-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Otolaryngology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $943.24 |
| National facility | $943.24 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,146.97 | $1,146.97 |
| District of Columbia | $1,057.40 | $1,057.40 |
| New York | $1,040.10 | $1,040.10 |
| New Jersey | $1,029.53 | $1,029.53 |
| California | $1,017.20 | $1,017.20 |
| Washington | $1,010.00 | $1,010.00 |
| Massachusetts | $1,004.26 | $1,004.26 |
| Florida | $1,003.65 | $1,003.65 |
| Connecticut | $1,001.29 | $1,001.29 |
| Illinois | $985.03 | $985.03 |
| Hawaii | $982.89 | $982.89 |
| Maryland | $973.68 | $973.68 |
| Colorado | $965.19 | $965.19 |
| Rhode Island | $960.00 | $960.00 |
| New Hampshire | $955.17 | $955.17 |
| Oregon | $954.96 | $954.96 |
| Puerto Rico | $947.59 | $947.59 |
| Virgin Islands | $947.59 | $947.59 |
| Montana | $943.12 | $943.12 |
| Pennsylvania | $941.29 | $941.29 |
| Michigan | $939.26 | $939.26 |
| Georgia | $933.96 | $933.96 |
| Texas | $933.58 | $933.58 |
| Nevada | $933.35 | $933.35 |
| Delaware | $933.21 | $933.21 |
| Wyoming | $927.09 | $927.09 |
| Arizona | $919.41 | $919.41 |
| Virginia | $916.81 | $916.81 |
| New Mexico | $915.86 | $915.86 |
| Minnesota | $913.43 | $913.43 |
| Utah | $908.09 | $908.09 |
| Vermont | $907.75 | $907.75 |
| West Virginia | $907.10 | $907.10 |
| North Dakota | $906.34 | $906.34 |
| Louisiana | $904.38 | $904.38 |
| Missouri | $902.72 | $902.72 |
| South Dakota | $901.99 | $901.99 |
| Ohio | $901.95 | $901.95 |
| Maine | $898.66 | $898.66 |
| South Carolina | $897.42 | $897.42 |
| North Carolina | $888.63 | $888.63 |
| Kentucky | $884.65 | $884.65 |
| Wisconsin | $880.08 | $880.08 |
| Oklahoma | $877.99 | $877.99 |
| Indiana | $876.25 | $876.25 |
| Idaho | $872.08 | $872.08 |
| Tennessee | $870.77 | $870.77 |
| Nebraska | $867.62 | $867.62 |
| Kansas | $866.32 | $866.32 |
| Iowa | $864.95 | $864.95 |
| Mississippi | $860.26 | $860.26 |
| Alabama | $856.24 | $856.24 |
| Arkansas | $845.39 | $845.39 |

## Related codes

- 31535: Laryngoscopy, direct, with biopsy — https://www.med-reveal.com/rates/31535-cpt-fee-schedule
- 31570: Laryngoscopy with injection into vocal cord(s) — https://www.med-reveal.com/rates/31570-cpt-fee-schedule
- 31575: Laryngoscopy, flexible, diagnostic — https://www.med-reveal.com/rates/31575-cpt-fee-schedule
- 31578: Laryngoscopy with removal of foreign body — https://www.med-reveal.com/rates/31578-cpt-fee-schedule
- 31590: Laryngeal reinnervation — https://www.med-reveal.com/rates/31590-cpt-fee-schedule
- 42410: Excision of parotid tumor or parotid gland, lateral lobe, without nerve dissection — https://www.med-reveal.com/rates/42410-cpt-fee-schedule
- 42420: Excision of parotid gland, total, with dissection of facial nerve — https://www.med-reveal.com/rates/42420-cpt-fee-schedule
- 42440: Excision of submandibular gland — https://www.med-reveal.com/rates/42440-cpt-fee-schedule

Commercial negotiated rates for 69633 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules